The URL can be used to link to this page

Home My WebLink About23535-zFORE NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-24699 Date OCTOBER 24, 1996 THIS CERTIFIES that the buildin~ ALTERATIONS Location of Property. 1955 BAY SHORE ROAD GREENPORT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 4 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J%~NE 4, 1996 ~ursuant to which Building Permit No. 23535-Z dated J~NE 26, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is INSTALL WINDOWS & RENOVATE FRONT STEPS OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STEPHEN & PATRICIA MUTKOSKI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS C~RTIFICATION DATED Rev. 1/81 N/A N/A N/A FOB3I NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23535 Z Permission is hereby granted to: ...£~,....,~..~:....z~.a. ................................ _ .~.~,z~..~..:..~......z.../~../. ............... at premises located at ...................... X~...,~./.~.~.,.~..,..~'.~../...i ............................................................ .................................................... /~.~.~..:.../~.....~.....~ .................................. .................................................................. ~.. ,~. ~ .......................................................... County Tox Map No. 1000 Section .... ..,.~,~ ............ Block .......~...~.... ....... Lot No ...... /~... .......... pursuant to application doted .............. ~,:/~.~. ....... ..~......~... ....... , 19...~...~, on6 el)proved by the Building Inspector. Fee $ ........................ Rev. 6/30/80 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~-~ ~' ! ~-'~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the ~uilding. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. ' Fees 1.~C_ar_tificatP of Occ,,psncy_~welling $25.00, Additions to dwelling $25.00, ~.terations to dwelling $2.5.0_~Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy v , .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..~J.!~ .......................... New Constructi~ ............. ~ld~.~r Pre-existing Building.~.m~.. ........ ~.. _, ....... ...... ............ Location of Property.../.~ ................. .~..~-.~.. · House No. Street Hamlet Onwer or Owners of Property...~..T.~. ~ ..~.....~.. f ..b'. z0 County Tax Map No IO00, Section .......... Block ............. Lot .................... Subdivision ..... Filed Map ............ Lot ...................... Permit No ........ Date Of Permit .... Applicant ............................. Health Dept. Approval .......... ~..~. ............ Underwriters Approval....~..~. .................. Planning Board Approval ..... I..~...~. ............. Request for: Temporary Certificate ........... Final Certicate. ·' Fee Submitted: $ ............................ · //~ / (~;1,~ ' ,~'o'~ I APPLICANT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING REMARKS: [ ] ROUGHP~G. [ ] ~ULATION [,~}/FINAL ] FIREPLACE & CHIMNEY Environment East, Inc. 3075 Indian Neck Lane P.O. Box i90 Peconic, New York 11958-0190 516-734-7474 September 26, 1996 Soutliold Town Building Dept. Town Hall P. O. Box 1179 Southold, NY 11971 Re: Permit # 23535Z Dem' sirs, Tlds is to inform yon that we are no longer involved with the work being performed tmder the above mentioned Building Permit for Mr. &lvks. Mntkowsld at their 1955 Bay Shore Road, Greenport house. 3Al additional ins~e~ions and applicatiens vA!l be their responsibility. If you have an3' q~le~[se give us a call. Sincerely, Peter R. Stoute~ President ErMromnent PRS:jm Id.J 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATIONIST [ ] ROUGHPLBG. ] F/~NDATION 2ND [ ]INSULATION / [~/]/FRAMING [ ] FINAL FIREPLACE & CHIMNEY iiiii JUN ~,'1~ IlUJ BUILDtNGDEPARTMENT "";'1 ...... I'--' TOWN HALL I J 8OUTHOLD, N.Y. 11971 ~_....B. Lp_G._DEP1; - TEL.: 765-1803 ' ~__ ~UWN OF SOUTHOLD Disapproved a/c , ( B/ff~diug/ln spec t or) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS SETS or PL .s..., '..-..-. SURVEY .. : SEPTIC FOR~I' t;OT I PY; , CALL ................... MAIL TO: : a. ' This apphcation must be comliletely filled ~n by typewriter or in ~nk and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scal~. Fee according to schedule. ' b. ' Plot plan showing location of ilot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- c~tion. ' :' r . : , c.. The work covered by tiffs application may not be commenced before issuance of Building Permit. '. d. Upon approval of tins apphcat!on, the Bmldmg Inspector wall mued a Building Permit to the applicant. ,Such permS shall be kept on the premises available ,for inspection throughout the wt~rk , e. - No building shall be occupied I. or used in whole or in part for any purpose whatever untd a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tow.~ of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply wSh gll applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premisds and in building for necessary inspections. . ..... -- ~gna_ture pf applicant, or name, if a corporation) {PO t~o '~ tqO ' (Mailing address of applicant) . State whether applicant is owner, lesse agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....................................... · I (as on the tax roll or latest deed) If ~sig~0~ture ~f duly authfirized officer. (Name and title of corporat~ officer) Builder s License No Plumber's License No i Electri?ian's License No Other Trade's License No Location of land on which propose~l work will be' done. .... ....... , ........ ' House Number Coun!y Tax Map No. 1000 Section Street /,73 Block Hamlet . St bdivision Filed Map No Lot (Na State existing use and Occupancy of ~remises and intended use and occupancy of proposed construction: a. Existing use and occupancy.. ~ .~.~.L~...,. ~.~ .t~l-.~ .~ 1. ~xNo ......................................... b. Intended use and occupancy '~ ..]., ~:~. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .... Repair .............. Removal .............. Demolition .............. Other Work ............... (pes~ription) 4 Estimated Cost Fee (to be paid on filing this 9pplication) 5. If dwelling, number of dwelling units .... ~ .......... Number of dwelling units on each floor'~,.. :.'. ......... . If garage, number of cars .,./. ................................... ~ ......................... 6. If business, commercial or mixed occupancy, specify natu,.r¢ ~J ~h type of use ..................... 7. Dimensions of existing structures, if any: Front~.. · .~..~..'--~. Rear ..... :: ....... Depth ....... : ........ Height ............... Number of Stor~ ~ ._ ............................................. Dimensions of same structure with {l~ration~o/r, mfditions: Front ................. Rear ............. ' ..... Depth .................... ~ .%~t?~g~h~... .................... Number of Stories ............... , ...... 8. Dimensions of entire new cons~n.~Front ............... Rear ............... Depth ........ ' ....... Height ............... Nu~r of Stories ............................................. ~ .......... :9. Size of lot: Front ...y ............. Rear ...................... Depth ...................... 10. Date of Purchase .: .................. · .......,,. Name of Former Owner . .' ........................... 11. Zone or use district in which premises are situated..~[~,.~ ~3.~9.~.t.va.~ ................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: k/P-3 ............ ~ 13. Will lot be regraded . .~.q)./. ..................... Will excess fill be removed from premises. Yes 14. Name of Owner of premises ~u~[6.4~.~1~ ....... Address 0,5~. Phone No ................ Name of Architect ........................... Address ................... Phone No. 2. ....... ' ....... Nan~e of Contractor I~Mxbt.4~OJ?..~.. q~..~'~k/k-~r... .... Address~l~.~. tqO. ~. r~O .~.~/. Phone No.~T& ~.~ ~.~. 7.ff77. t5. Is this property within 300 feet of a tidal wetland? ~Yes .... /-?~.¥ No .......... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. FOLLOWING INSPE~ 1. FOUNDATIO~ - ~O REQUIRED FOR POURED CONCRETE Z ROUGH ~ FRAMING ~ PLHM~NG 3, ~NSUL,AT~ON 4, FINAL CONSTRUCTION ~UST ~E COMPLETE FOR ALL CONSTRUCTION SHA~, MEET THE REQ[flREMEN~ OF THE N,Y. S~qTE CONSTRUCTION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 5TATE OF NEW YORK, S.S ~ OU NT_Y_ OF ................. ~ (Name of individual signingq:ontract) there named. ....... being duly sworn, deposes and says that he is the applicant // {e is the ................. ; .................................................................. ~ (C~gent, corporate officer, etc.) ff said owner or owners, and is duly author~'-'~'--------'--to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application flied therewith. ;worn to 15efore me this ............. .%., ....... of., ...... 19.